Patient Services Representative

Overview

Job Title:

Patient Services Representative I

Department:
Health Center Operations

Position Code: B06N Non-Exempt | Position Category (330):
Patient Support Staff (L32) | Position Category (RPHCA):
Administrative Staff

Union Exempt:
No

The following statements describe the general nature and level of work performed. They are not intended to be an exhaustive list of all responsibilities, duties and skills required.

• Patient Reception
  :
  Greets new and returning patients and clients entering the health center and checks them in for scheduled and walk-in appointments.
• Updates patient records to verify contact information.
• Greets other visitors to the health center and directs them to the appropriate offices or individual staff.
• Provides general information to patients concerning functions of FCCH.
• Answers the telephone and connects callers to the appropriate offices or individual staff.
• Schedules new office appointments and return appointments.
• Pulls and files medical charts when necessary.
• Other duties as assigned.

• Patient Registration
  :
  Meets with patients to collect required personal, health, and insurance information for the permanent patient record.
• Enters accurate patient data into the computer system on a daily basis.
• Collects patients’ copay/coinsurance/deductible visit deposit at time of service.
• Keeps accurate, balanced, locked cash bag/box, and is personally responsible for any imbalance in the daily reconciliation of cash receipts.
• Verifies insurance eligibility for Medicaid, Medicare, and third-party payors.
• Verifies personal income according to established guidelines for all patients.
• Follows appropriate computer downtime procedures.
• Scans patient registration documents as directed.

• MINIMUM EDUCATION AND EXPERIENCE
• High School graduate or GED certificate
• Three to six months related experience and/or training is required
• Bi-lingual English/Spanish is preferred
• LICENSES/CERTIFICATIONS REQUIRED
• None
• KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED
• Knowledge of patient registration procedures and documentation
• Receptionist skills
• Demonstrates knowledge of applicable FCCH patient-related forms and programs
• Ability to interact and communicate with people over the telephone, often in stressful situations
• Knowledge of planning and scheduling techniques
• Knowledge of pre-certification requirements, procedures and documentation of third party medical insurance payors or other patient healthcare funding programs
• Ability to analyze and solve problems
• Skill in the use of personal computers and related software applications
• Familiarity with compliance programs and elements; cooperates with applicable laws and regulations
• Ability to maintain quality, safety, and/or infection control standards
• General office procedures (filing, copying, faxing)
• Ability to use a multi-line telephone to schedule appointments
• Ability to use a computer to enter patient data and retrieve information to generate reports and payment receipts
• Ability to work on multiple tasks within established deadlines
• Ability to work under the direction of a supervisor and follow instructions
• Ability to take the initiative to resolve patient concerns and problems
• Able to work well with diverse groups of people
• Age of Patients Served:
  All ages

• Physical Effort and Dexterity:
  Good dexterity to operate a computer and office equipment; occasional lifting and carrying related to office duties
• Machines, Tools, Equipment:
  Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications
• Visual Acuity, Hearing, and Speaking:
  Must be able to read a computer monitor and outputs accurately; must communicate clearly and accurately for work and safety compliance
• Environment/
  
  Working Conditions:
  
  Work is primarily inside an office in a controlled environment. Normal office safety precautions apply. Travel throughout the Albuquerque metropolitan area may be required. Typically Monday–Friday; weekends may be required to meet deadlines